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Impact of a board certification system and implementation of clinical practice guidelines for pancreatic cancer on mortality of pancreaticoduodenectomy
- Source :
- Surgery Today
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Purposes The aim of this study was to clarify the impact of a board certification system and the implementation of clinical practice guidelines for pancreatic cancer (PC) on the mortality of pancreaticoduodenectomy in Japan. Methods By a web questionnaire survey via the National Clinical Database (NCD) for departments participating in the NCD, quality indicators (QIs) related to the treatment for PC, namely the board certification systems of various societies and the adherence to clinical practice guidelines for PC, were investigated between October 2014 and January 2015. A multivariable logistic regression analysis was performed to evaluate the relationship between the QIs and mortality of pancreaticoduodenectomy. Results Of 1415 departments that registered at least 1 pancreaticoduodenectomy between 2013 and 2014 in NCD, 631 departments (44.6%), which performed pancreaticoduodenectomy for a total of 11,684 cases, answered the questionnaire. The mortality of pancreaticoduodenectomy was positively affected by the board certification systems of the Japanese Society of Gastroenterological Surgery, Japanese Society of Hepato-Biliary-Pancreatic Surgery, Japanese Society of Gastroenterology, and Japanese Society of Medical Oncology as well as by institutions that used magnetic resonance imaging of ≥ 3 T for the diagnosis of PC in principle. Conclusions The measurement of the appropriate QIs is suggested to help improve the mortality in pancreaticoduodenectomy. Masamichi Mizuma and Hiroyuki Yamamoto equally contributed
- Subjects :
- medicine.medical_specialty
Certification
Quality indicator
medicine.medical_treatment
Medical Oncology
Logistic regression
Pancreaticoduodenectomy
Board certification
Japan
Surgical oncology
Specialty Boards
Surveys and Questionnaires
Pancreatic cancer
Humans
Medicine
Societies, Medical
Quality Indicators, Health Care
Clinical practice guideline
business.industry
Gastroenterology
Questionnaire
General Medicine
medicine.disease
Pancreatic Neoplasms
Clinical Practice
General Surgery
Family medicine
Practice Guidelines as Topic
Original Article
Surgery
business
Subjects
Details
- ISSN :
- 14362813 and 09411291
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....887ec372b1372d3ad08ddd226caf57a0